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Pain due to Peripheral Vascular Disease Gallery

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>> Pain due to Peripheral Vascular Disease

Introduction
Peripheral vascular disease (PVD) is a nearly pandemic condition that has the potential to cause loss of limb or even loss of life. Peripheral vascular disease manifests as insufficient tissue perfusion caused by existing atherosclerosis that may be acutely compounded by either emboli or thrombi. Many people live daily with peripheral vascular disease; however, in settings such as acute limb ischemia, this pandemic disease can be life threatening and can require emergency intervention to minimize morbidity and mortality.

 

Management of Pain due to Peripheral Vascular Disease

There can be many causes of Pain due to peripheral vascular disease including accidents, strains, and injuries. Two types of back injury are spondylolisthesis and cervical radiculopathy. Both have their own set of symptoms, causes, and treatments. The spine, or backbone, is made up of a column of 33 bones and tissue extending from the skull to the pelvis. These bones, or vertebrae, enclose and protect a cylinder of nerve tissues known as the spinal cord. Between each one of the vertebra is an intervertebral disk, or band of cartilage serving as a shock absorber between the vertebrae. The types of vertebrae are: 
* Cervical vertebrae: the seven vertebrae forming the upper part of the spine 
* Thoracic vertebrae: the 12 bones between the neck and the lower back 
* Lumbar vertebrae: the five largest and strongest vertebrae located in the lower back between the chest and hips 
* The sacrum and coccyx are the bones at the base of the spine. The sacrum is made up of five vertebrae fused together, while the coccyx (tailbone) is formed from four fused vertebrae.

What Causes Pain due to Peripheral Vascular Disease?

A number of conditions such as vasculitis (inflammation of the blood vessels, occurring either as a primary condition or associated with connective tissue diseases such as lupus) may cause damage to blood vessels throughout the body. Injuries to blood vessels (from accidents such as auto accidents or sports injuries), blood-clotting disorders, and damage to blood vessels during surgery can also lead to tissue ischemia. Tissue ischemia can also occur in the absence of atherosclerosis or other abnormalities of arteries. One example of a condition in which the blood vessels themselves are not damaged is Raynaud's Disease, which is believed to occur due to spasms in blood vessels brought on by stress, tobacco smoking, or a cold environment.

Treatmeant

Prehospital care for peripheral vascular disease (PVD) involves the basics: control ABCs, obtain intravenous access, and administer oxygen. Generally, do not elevate the extremity. Note and record distal pulses and skin condition. Perform and document a neurological examination of the affected extremities.

 
 
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